Suturing liver's round ligament to cystic wall for hepatic cysts

Laparoscopic fenestration is a common treatment for hepatic cysts, but postoperative recurrence and complications remain concerns.

To evaluate suturing the liver's round ligament to the cyst wall after laparoscopic fenestration for hepatic cysts.

This retrospective case series study involved patients who underwent the novel surgical technique at the Second People's Hospital of Changzhou, affiliated with Nanjing Medical University, between December 2022 and March 2024. The perioperative indicators observed included operative duration, intraoperative blood loss, the occurrence of bile leakage or hemorrhage within the drainage fluid, and the duration of hospital confinement.

Fifteen patients were included. The surgeries were successfully completed laparoscopically, with a mean operative duration of 75.0 ± 15.4 minutes and minimal intraoperative blood loss. No major complications, such as significant bleeding, bile leakage, or intra-abdominal infections, were reported. The follow-up period, ranging from 3 months to 12 months, revealed a cure rate of 40.0% and a total efficacy rate of 100%, with no cases deemed ineffective.

Suturing the free pedicled round ligament to the cyst wall after laparoscopic fenestration is feasible and effective, with promising cure rates.